Telehealth: Standards for the New NormalStandards for the New Normal Supporting patients, the care team and our Healthcare Ecosystem. ... new reimbursement during COVID-19 pandemic

Copyright 2020 - Michigan Health Information Network Shared Services 1 1

Telehealth: Standards for the New Normal Supporting patients, the care team and our Healthcare Ecosystem.

Copyright 2020 - Michigan Health Information Network Shared Services 2

MiHIN is Michigan’s state-designated entity to continuously improvehealthcare quality, efficiency, and patient safety by promoting secure,electronic exchange of health information. MiHIN represents a growingnetwork of public and private organizations working to overcome datasharing barriers, reduce costs, and ultimately advance the health ofMichigan’s population.

MiHIN is a

network for sharing health information statewide for Michigan

Michigan Health Information Network Shared Services (MiHIN)


Network of Networks

Federal

Consumer-Facing Organizations

Ph

arm

acie

s

Health Plans

Providers and Health Systems

MiHIN Statewide

Shared Services

PIHPs (10)

Other Data-Sharing Organizations

Health Information Exchanges

State Innovation

Models ---

43 Provider Organizations

MSSS

State

Labs

Data Warehouse

MyHealthPortalMyHealthButton

Chronic

Diseases

MDHHS Data Hub

Immunizations

MI Syndromic Surveillance System

MI Disease Surveillance

System

Medicaid

Single point of entry/exit for state


Conceptual Planning & Development Implementation Mature Production

Health Risk Assessments Computable Knowledge/KGRID Common Key Service ADT Notifications (Senders)

Chronic Disease Notifications Death Notifications Michigan Opioid Poisoning Surveillance System

Active Care Relationship Service Discharge Medication Reconciliation (Senders)

Birth Notifications Interstate Immunizations Health Directory Health Information for State: Immunizations & Syndromic Surveillance

Psychiatric Facility & Treatment Center ADTs Single-Sign-On Lab Orders-Results: Disease Surveillance Care Plan-ICBR

Immunizations for Care Team Electronic Referrals: Tobacco Referral Admission, Discharge, Transfer (ADT) Notifications (Receivers)

Enhanced Care Collaboration Connectivity Electronic Case Reporting Discharge Medication Reconciliation (Receivers)

Longitudinal Health Record Newborn Screening-Hearing Test Results Quality Measure Information: Commercial Payers (PPQC): APS

Closed Loop Referrals Find Patient Data Quality Measure Information: State Medicaid Meaningful Use

Diagnostic Imaging Consumer Consent: eConsent Newborn Screening- Bloodspot

Advanced Directives Consumer Preference Management Lab-Orders-Results: Blood Lead

Information for Consumer Cancer Pathology

Cancer Notification

Immunization History Forecast

Lab-Orders-Results: Newborn Screening-CCHD

Statewide Lab-Orders-Results

Quality Measure Information: Commercial Payers (PPQC): Gaps in Care

System for Opioid Overdose Surveillance

Social Determinants of Health

MiHI

N’s Us

e Cas

eFac

tory™

(UCF

)

Enhanced with Common Key Service



Virtual Health Maturity Adoption Model

Maturity Model

EARLY ADOPTERSREACTIVE & DEFENSIVE

INITIAL COORDINATION

EFFECTIVE INTEGRATION

EFFECTIVE TRANSFORMATION

Limited Utilization!

Use of Non-HIPAA

compliant tools and

outsourcing of telehealth.

FaceTime, Google

Hangouts, WhatsApp,

Teledoc, AmWell, MDLive

Emerging Discipline!

Utilization driven by need

for business continuity and

new reimbursement during

COVID-19 pandemic.

Practice initiated visits only.

BlueJeans, Updocs,

Doxy.me, Zoom, ClickPoint,

Teams, Doximity, etc

Patient-Provider Linkage!

Practice builds a virtual

brand to extend patient

centered medical home;

patients initiate visits,

report symptoms,

journalize health issues and

maintain a personal health

record.

Care Convene Plus

EMR Portals (Limited)

Clinic Integration!

Simplify patient and

provider access to health

information.

Provider-HIE: ADT, CCDA,

Longitudinal Record, Labs

Immunizations, Vitals.

Provider-EMR: Integration

with scheduling and video

Patient-IoT: Apple Health,

Google Fit, RPM.

Care Convene Integrated

Consumer Autonomy!

Consumer Marketplace

Consumer Mediated

Exchange – HIE Integration.

Portal Integration for

consumer access to payer

systems and siloed EMR

systems.

Care Convene TBD

HEALTHCARE DELIVERY TRANSFORMATION

CO

NSU

MER

VA

LUE

Covid -19

Pre-Covid


Accelerate Your Telehealth

• Care Convene Integrated• Maintain continuity and

medical home relationships • Discharge Summaries and

Assessments sent to HIE

HIPAA Compliant Integrated HIE Telehealth Platform

• Teledoc, Doctors on Demand, Amwell

• Outsourced Care, no Continuity

HIPAA Compliant National Providers

• Care Convene PLUS, Amwell, MD Live

• Patients can initiate visits using an App

HIPAA Compliant Telehealth Platform

• FaceTime, Facebook, Google Hangouts

Non-HIPAA Compliant

• Blue Jeans, Doxy.me, Updocs

• Patients can’t initiate visits.

HIPAA Compliant Virtual Meeting Rooms

Not all Telehealth Solutions are the Same


Telehealth: The Use Case• Purpose:

• Incorporate telehealth providers and telehealth modalities into Michigan’s healthcare delivery ecosystem by utilizing the state’s health information network shared services.

• Drive access; care coordination; increase patient engagement: transition of care; coordinate and align patient-initiated virtual visit requests; and support public health priorities

• Enable telehealth platforms to more fully support and participate in:

• Care coordination

• Patient engagement

• Sending virtual visit information to EHR

• HIE statewide use cases

• Promote public health efforts and mandates

Statewide Telehealth Registry


MiHIN Statewide Telehealth Registry

Member Experience1. Member logs into Health Portal.2. Member vavigates to telehealth page3. Member selects a telehealth solution

• Spectrum Health Med Now• Care Convene• MD Live• Other

4. Member visits telehealth vendor website5. Member downloads app and completes registration6. Member navigates through the visit process7. Member submits the visit

Copyright 2020 - Michigan Health Information Network Shared Services 10 10

By combing information systems and software, clinical data solutions and customer service, our integrated entity is able to advance the delivery and coordination of healthcare that could not be achieved separately. Much of our product solutions are complimentary while the coming together provides for beneficially synergistic growth.

• Complimentary product solutions• Consent management• Longitudinal records• Referrals• Diagnostic Imaging• Physical and Behavioral Health Integration• Advance Directives• Telehealth• Social Determinants of Health

• Improved future solutions development• Analytics• Continuous quality improvement• Shared services business model• Research

• Increased adjacent market opportunity• Disaster Recovery• Prisoner re-entry program• Claims Clearing House

Better Together

moving together


Telehealth Product Description- The ApplicationMultiple Service Designs

• Virtual Practice Model:• Patient Self-Management Tools• On Demand and scheduled visits• Care Management & Coordination• Social Determinates of Health Reporting

Care Convene Plus

• Health Information Exchange Enabled• Use real-time ADT/CCDA/Results Chronic• EMR interoperable • API and FHIR Ready

Care Convene Integrated

• Exposure Management Support • Staff/Constituency self-screen• HR reporting

Care Convene Screen

• Provider to Provider consultation• Remote and hosted service support• Store and Forward functionality

Care Convene Consult


Title

Provider / Practice Access: Web and/or Phone

Provider Tracking Board

Care Team Viewer

Provider Web Portal

HIPAA Compliant


Patient – On Demand with COVID Symptoms


Questions?Thank you!

[email protected]@mihin.org

Documents

Telehealth: Standards for the New NormalStandards for the New Normal Supporting patients, the care team and our Healthcare Ecosystem. ... new reimbursement during COVID-19 pandemic